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Compare/I70.26 vs I96

I70.26 vs I96

I70.26 (Atherosclerosis of native arteries of extremities with gangrene) compared with I96 (Gangrene, not elsewhere classified), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. I96 carries an Excludes1 note covering I70.26: “gangrene in atherosclerosis of native arteries of the extremities (I70.26)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

I70.26Atherosclerosis of native arteries of extremities with gangreneI96Gangrene, not elsewhere classified
Billing statusNon-billable header

Report instead: I70.261, I70.262, I70.263, I70.268, I70.269

Billable
ClassificationI00-I99 — Diseases of the Circulatory System (I00-I99)I00-I99 — Diseases of the Circulatory System (I00-I99)
DefinitionAtherosclerosis of native arteries of extremities with gangrene is a non-billable ICD-10-CM category code (I70.26).Gangrene, not elsewhere classified is a billable ICD-10-CM diagnosis code (I96).
Includes
any condition classifiable to I70.21-, I70.22-, I70.23-, I70.24-, and I70.25-
chronic limb-threatening ischemia of native arteries of extremities with gangrene
critical limb ischemia of native arteries of extremities with gangrene
arteriolosclerosis
Gangrenous cellulitis
Use additional code
code to identify the severity of any ulcer (L97.-, L98.49-), if applicable
code, if applicable, to identify chronic total occlusion of artery of extremity (I70.92)
code to identify:

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources